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Science articles
Science articlesThe effect of serous inflammation in the mucous membrane of the middle ear on the morphological and functional results of tympanoplasty
F. V. Semenov (1), Yu. V. Misyurina (1)
(1) Kuban State Medical University, Krasnodar, 350063, Russia
UDK: 616.284-002.2:616.285-089.844
DOI: https://doi.org/10.18692/1810-4800-2020-2-64-68
ABSTRACT
A comparative analysis of the results of a separate atticoantrotomy with tympanoplasty of type I in patients with serous mucositis (moderately thickened and edematous mucous membrane of the tympanic cavity with serous-mucous discharge, n = 59) and patients with intact mucous membrane (n = 48) was performed. The functional outcome of surgical treatment was evaluated using tonal threshold audiometry by calculating the average value of the air-bone gap (ABG) in the speech frequency range after 3 and 12 months. The condition of the graft (the presence or absence of perforation of the neo tympanic membrane) was determined by otomicroscopy 12 months after surgery. Hearing improvement was observed in patients in both groups: the air-bone gap after 12 months in the speech frequency zone was 13.5 ± 5.1 dB in the patients of the main group and 15 ± 5.0 dB in the control patients. The absence of perforation of the neo tympanic membrane 12 months after surgery was observed in all patients. The results obtained in this study suggest that the phenomena of serous mucositis in the form of edema of the mucous membrane of the tympanic cavity and serous-mucous discharge do not significantly affect the morphological and functional results of tympanoplasty in patients with a tubo-tympanic form of chronic otitis media
Publication date:
13.04.2020
Keywords:
tympanoplastics, autotransplant, otomicroscopy, mucositis. For citation:
Semenov F. V., Misyurina Yu. V. The effect of serous inflammation in the mucous membrane of the middle ear on the morphological and functional results of tympanoplasty. Rossiiskaya otorinolaringologiya. 2020;19(2):64–68. https://doi.org/10.18692/1810-4800-2020-2-64-68